2nd Lower Face Lift -- Scars Too Visible? (photo)

I'm 40 -- lower facelift and cheek fat transfers 3 years ago. I've lost 25 lbs since and altho my body looks great, I've lost volume in my face. I'm considering a 2nd lift and more fat transfers. Initial incisions along the ear and back into my hair. This time surgeon said he'll need to place the incisions in front of my hairline, otherwise it will move too far back. I am worried scars there will be very visible or my hairline will be too "straight"? Current anterior scars aren't bad. Thoughts?

Doctor Answers 8

Revision Facelift and Fat grafting

August 18th, 2013

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Thank you for sharing you thoughts and questions. Your posterior hairline incisions can easily be corrected. The anterior hairline/ temples are already high and your only option is to go below the hair tuft. Closed well, these incisions will not be apparent or alter the hairline. That said, I don't think you need another facelift yet. You may revisit this again in 10-15yrs.

As for fat grafting, I think this is a good option to help volumize your mid face and camouflage your eyelid cheek junction and tear troughs.

RESPECTABLE RESULT NO MORE by Villar

Quit while you are ahead. Your jaw line is clearly visible and smooth. Your neck looks tight. Your scars are typical. I cannot see your eyes.

The only thing that disturbs me is your loss of "sideburnhair". The bald spot here is very noticeable with your hair back. This "friar monk" look is unfortunately too common. Your surgeon did noting wrong. That is the traditional incision most residents are taught. Thirty years ago, when I started my practice, I departed from the conventional wisdom and redesigned my incision to avoid hair loss in front and behind the ear.

If you have another facelift at this time, it will not be in your best interest. Your surgeon has probably told you this. Scars behind the ears can be revised. Best wishes. Knowledge is power. Luis F. Villar MD FACS

2nd Lower Face Lift -- Scars Too Visible?

April 18th, 2013

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Aesthetically speaking, from the photos provided, the issue isn't the posterior incisions that are typically placed 3 inches within the hairline and not along the front edge of the hairline where you can't wear your hair back. The issue is that there are no signs of jowls or nasolabial folds and as such, no type of Face Lift would be indicated.

The face does appear a bit elongated which is due to flat cheeks. Fat transfer, in my opinion, is not as reliable as Cheek Augmentation with a temporary filler (I prefer Perlane) or Cheek Implants. Creating the proper cheek shape would make the face more naturally feminine and attractive. Hope this helps.

2nd Lower Face Lift -- Scars Too Visible?

August 4th, 2013

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Dear Griddy,

thank you for your post. I agree with your surgeon in the anterior hairline approach. Your loss of sideburns area hair is already noticable and will become worse. You have a very mild jowl area. Also for consideration is hair transplant along the sideburn area.

Bad scars after facelift.

April 18th, 2013

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Your original scar was placed too low and probably under tension. This produces the hypertrophic scars u have. This lift should try to remove all the scar without tension and place it higher. This can be done as we described 35 years ago in a Trichophytic way so the hair grows thru the scar.

Facelift

April 18th, 2013

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The back of the ear incision can not be hidden. It is alreadt infront of the hairline.
Looking at the pictures posted, you do not need any work on the neck. Therefore may consider fat graft to the face , maybe a mini-facelift, incisioninfront of the ear.

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